Provider Demographics
NPI:1447790019
Name:ANGELS OF CARING HEARTS
Entity Type:Organization
Organization Name:ANGELS OF CARING HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATONYA
Authorized Official - Middle Name:NAKESHIA
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:608-208-4545
Mailing Address - Street 1:PO BOX 460671
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75046-0671
Mailing Address - Country:US
Mailing Address - Phone:608-208-4545
Mailing Address - Fax:
Practice Address - Street 1:250 N 5TH ST APT 2111
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-6319
Practice Address - Country:US
Practice Address - Phone:608-208-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health